D Check here if PTY has disbanded

Transcription

1 CAMPAIGN TREASURER'S REPORT SUMMARY (1) (2) KLEIN, MARTIN I. Name 1060 North Ocean Boulevard Address (number and street) Palm Beach, FL City, State, Zip Code D Check here if address has changed (4) Check appropriate box(es): OFFICE USE ONLY "' ;,,:.l (3) 1.0. Number: _o_o_oo_o X Candidate (office sought): Palm Beach Town Council, Group 2 Political Committee (PC) D Check here if PC or ECO has disbanded Electioneering Communications Org. (ECO) D Check here if PTY has disbanded Party Executive Committee (PTY) Independent Expenditure (IE) (also covers an D Check here if no other IE or EC reports will be filed individual making electioneering communications) Cover Period: REPORT IDENTIFIERS From O_l_/0_7/_2_01_7 To 0_1_/2_0_!2_0_17 Report Type: G2 [RJ Original D Amendment D Special Election Report CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Cash & Checks Loans $30, Monetary Expenditures $ $0.00 Transfers to Office Account $0.00 Total Monetary $ Total Monetary $ In-Kind $0.00 (8) Other Distributions $0.00 (9) TOTAL Monetary Contributions to (10) TOTAL Monetary Expenditures to $ $ (11) CERTIFICATION It is a first degree misdemeanor for any person to falsify a public record (ss , F.S.) I certify that I have examined this report and it is true, correct and complete: D Deputy Treasurer Martin I. Klein D Chainnan (only for PC and PTY) X Signature This form is based on DS-DE 12 (Rev. 11/13) Adjutant Wor1<shop, Inc. - Campaign ToolBox

2 CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name K.;.;;;L..;;.E.;..;.IN.;.:.,...;M..;;.A..;;.R.;..;T...;.IN...;...;.;.I. (2) I.D. Number _...;0:;.;:0~0.:;..00;;... _ (3) Cover Period 01/07/ /20/2017 (4) Page 1 of 7 (Last. Suffix. First. Middle) Number City, State. Zip Code Type Occupation Type Description ~mendmen1 Amount 01/10/2017 Holzer, Jane I Real CHE $ Dunbar Road Estate 1 01/11/2017 McDonnell, Daniel I Retired CHE $ S. Ocean Blvd. Apt 206N 2 01/11/2017 Ciklin, Alan J. I Attorney CHE $ N Flagler Drive 20th Floor 3 01/11/2017 Schram, Ronald I Attorney CHE $ N. Ocean Boulevard 4 01/11/2017 Holzer, Charles I Investor CHE $ East 62nd St New York, NY /13/2017 Reiter, Michael S. I President CHE $ PO Box 2232 /Security Company 6 01/13/2017 Evans, Leslie Robert I Attorney CHE $ Seminole Ave 7 01/13/2017 Alvarez, Ronald M. I Judge CHE $ Orange Grove Road 8 This form is based on DS-DE 13 (Rev. 11/13)

3 CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name K_L_E_IN...:.,_M_A_R_T_IN_I. (2) I.D. Number o_o_oo~o (3) Cover Period 01/07/ /20/2017 (4) Page 2 of 7 (Last, Suffix, First, Middle) Number City, State, Zip Code Type Occupation Type Description ~mendmen Amount 01/13/2017 Lebow, Patricia I Attorney CHE $ Via Marila 9 01/13/2017 Greene, William B. I Banker CHE $ Worth Ave 10 01/15/2017 Crowell, Cody I Construct CHE $ S. Edison Ave. Unit 13 ion Tampa, FL /15/2017 Appleby, Clark I Finance CHE $ South Ocean Blvd Manalapan, FL /15/2017 Coleman, Ashley I Advertisi CHE $ Washington Street ng New York, NY /17/2017 Quinn, Oliver H. I Restaurat CHE $ Seaspray Ave eur 14 01/17/2017 Guarini, Patrick I CHE $ PO Box /17/2017 Fried, Harris S. I CHE $ P.O. Box This form,s based on DS-DE 13 (Rev. 11/13)

4 CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name K_L_E_IN-",_M_A_R_T_IN_I. (2) I.D. Number 0.;...0;..;;0...:.0.:...0 (3) Cover Period 01/07/ /20/2017 (4) Page 3 of 7 (Last, Suffix, First, Middle) Number City, State, Zip Code Type Occupation Type Description IA.mendmen Amount 01/17/2017 Watkins, Mary E. I Retired CHE $ Adam Rd /17/2017 Old Okeechobee B Real CHE $ Forum Place 5th Floor Estate 18 01/17/ Washington Street B Real CHE $ Forum Place 5th Floor Estate 19 01/17/2017 Pollock, Richard M. I CEO/YM CHE $ Seaspray Avenue CA 20 01/17/ Mira Flores Dive LLC B Real CHE $ Worth Ave. Estate 21 01/17/2017 Linda A. Gary Real Estate, Inc. B Real CHE $ Worth Ave. Estate 22 01/17/2017 Dunbar Partners LLC B Real CHE $ Dunbar Road Estate 23 01/17/2017 McPartlin, Stephen H. I Real CHE $ Clearwater Park Rd Ph07 Estate 24 This form 1s based on DS-DE 13 (Rev. 11/13)

5 CAMPAIGN TREASURER'S REPORT- ITEMIZED CONTRIBUTIONS (1) Name K_L_E.;...IN...:..,_M_A_R_T_IN_I_ (2) I.D. Number _...;0;...;;0..;;;.0.;;..00;;... _ (3) Cover Period 01/07/ /20/2017 (4) Page 4 of? (Last, Suffix, First, Middle) Number City, State, Zip Code Type Occupation Type Description IAmendmenl Amount 01/17/2017 Moran, Timothy I President CHE $ Dunbar Road /CEO 25 01/17/2017 Belisle, Beatrice I Retired CHE $ Estill Dr. Charleston, WV /17/2017 Madden, Peter I Retired CHE $ Barton Ave 27 01/17/2017 Mintmire, Patricia I Retired CHE $ Sunrise Avenue, Suite /18/2017 Reynolds, Janet M. I CHE $ S Ocean Blvd Unit S /18/2017 Miller, Gloria I CHE $ South Ocean Blvd N /18/2017 Moran, Bridget I Homema CHE $ Dunbar Rd. ker 31 01/18/2017 ER Bradleys Saloon South Inc. B Restaura CHE $ North Ocean Blvd. nt 32 This form is based on DS-DE 13 (Rev. 11/13)

6 CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name K_L_E_IN...:.,_M_A_R_T_IN_I. (2) I.D. Number o_o_oo_o (3) Cover Period 01/07/ /20/2017 (4) Page 5 of 7 (Last. Suffix. First. Middle) Number City, State, Zip Code Type Occupation Type Description IAmendmen Amount 01/18/2017 Kaufmann, Robert I Retired CHE $ Cocoanut Row Apt /18/2017 Smith, Matthew K. I CEO/Sho CHE $ North Ocean Way es 34 01/18/2017 Burns, Brian P. I Attorney CHE $ Bradley Place, Suite /18/2017 Ainslie, Suzanne I Real CHE $ Plantation Road. Estate 36 01/19/2017 Del Deo, Ralph N. I Lawyer CHE $ Fairview 37 01/19/2017 McDermott, David I Automoti CHE $ Foxboro Point Rd. ve Sales Essex, CT /19/2017 Belisle, Michael I Real CHE $ Worth Ave Estate 39 01/20/2017 Van Buren, Cynthia I Attorney CHE $ Worth Avenue, Suite 307G 40 This form is based on DS-DE 13 (Rev. 11/13)

7 CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name K_L_E_IN,_M_A_R_T_IN_I. (2) I.D. Number (3) Cover Period 01/07/ /20/2017 (4) Page (7) (8) (9) (10) (Last, Suffix, First, Middle) Number City, State, Zip Code Type Occupation Type Description 01/20/2017 Gaimaro, Richard I Retired CHE 2604 Pin Oak Court Palm Beach Gardens, FL of 7 (11) Amendmen1 (12) Amount $ /20/2017 Coral, Rosa G. I Homema CHE 107 Crosswinds Dr. ker Greenacres, FL $ /20/2017 Pashcow, Joel I Chairman CHE 261 Via Bellaria /Real Estate 43 $ /20/2017 De Fanjul, Tina R. I Real CHE 1161 N. Lake Way Estate 44 $ /20/2017 Fallon, Debra I Personal CHE 4317 Linden Avenue Assistant Palm Beach Gardens, FL $ /20/2017 Murray, Nancy I Volunteer CHE 249 Monterey Road $ /20/2017 Cooney, Gail Austin I CHE 495 N Lake Way 47 $ /20/2017 Erdmann, Peter B. I Real CHE 275 Barcelona Road Estate 48 $ This form is based on DS-DE 13 (Rev. 11/13)

8 CAMPAIGN TREASURER'S REPORT- ITEMIZED CONTRIBUTIONS (1) Name...,_ KLEIN, MARTIN I. (2) 1.0. Number (3) Cover Period 01/07/ /20/2017 (4) Page 7 of 7 o_o_o_oo;... _ (Last. Suffix. First. Middle) Number City. State, Zip Code Type Occupation Type Description IAmendmenl Amount 01/20/2017 Coleman, Catharine C. I Homema CHE $ Via Linda ker 49 01/20/2017 Horwich, Roberta I Retired CHE $ South Ocean Blvd /20/2017 Tanner Rose, Charles I Retired CHE $ South Lake Drive 51 This form is based on DS-DE 13 (Rev. 11 /13) Adjutant Workshop, Inc. - Campaign ToolBox

9 CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name K_L_E_IN""",_M_A_R_T_IN_I. (2) I.D. Number (3) Cover Period 01/07/ /20/2017 ( 4) Page 1 of 3 (7) (8) (9) (10) (11) (Last, Suffix, First, Middle) Purpose Sequence Street Address & (add office sought if Expenditure Number City, State, Zip Code contribution to a candidate) Type ~mendmen Amount 01/10/2017 Anedot Online Donation MON $ P.O. Box Processing Fee Baton Rouge, LA /11/2017 Anedot Online Donation MON $ P.O. Box Processing Fee Baton Rouge, LA /12/2017 Palm Beach Daily News Newspaper Ad MON $ Royal Palm Way Suite /12/2017 Palm Beach Daily News Newspaper Ad MON $ Royal Palm Way Suite /12/2017 Wells Fargo Bank Service Charge MON $ Okeechobee Blvd. West Palm Beach, FL /13/2017 Big Idea Strategies, LLC Printing/Design MON $ Florida Avenue Services 6 01/13/2017 Big Idea Strategies, LLC Signs, Buttons, T- MON $ Florida Avenue Shirts 7 01/13/2017 Big Idea Strategies, LLC Campaign Event MON $ Florida Avenue Expenses 8 This form is based on DS-DE 14 (Rev. 11/13) Adjutant Workshop, Inc. - Campaign ToolBox

10 CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name :.K.=L:.::E:.:.:.IN..:.!,..::M:.::.A..::.R..:..;T..:.:IN~l (2) I.D. Number _...;..0;...;;0...;..0.;...00;;. _ (3) Cover Period 01/07/ /20/2017 (4) Page 2 of 3 (7) (8) (9) (10) (11) (Last. Suffix, First, Middle) Purpose Sequence Street Address & (add office sought if Expenditure Number City, State, Zip Code contribution to a candidate) Type ~mendmenl Amount 01/15/2017 Anedot Online Donation MON $ P.O. Box Processing Fee Baton Rouge, LA /17/2017 Fisher Graphics, Inc. Graphic Design MON $ Fergusson Lane Services West Palm Beach, FL /18/2017 Anedot Online Donation MON $ P.O. Box Processing Fee Baton Rouge, LA /19/2017 Palm Beach Daily News Newspaper Ad MON $ Royal Palm Way Suite /20/2017 Gourmet Galaxy Catering Services MON $ N. Dixie Hwy 13 01/20/2017 Perry Services, Inc. Mailing Services MON $ Old Okeechobee Blvd. West Palm Beach, FL /20/2017 Anedot Online Donation MON $ P.O. Box Processing Fee Baton Rouge, LA /20/2017 Big Idea Strategies, LLC Phonebanks/Researct MON $ Florida Avenue 16 This form is based on DS-DE 14 (Rev. 11/13)

11 CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name K_L_E_IN""",_M_A_R_T_IN_I. (2) I.D. Number o_o_o_oo (3) Cover Period 01/07/ /20/2017 (4) Page 3 of 3 (7) (8) (9) (10) (11) (Last, Suffix, First, Middle) Purpose Sequence Street Address & (add office sought if Expenditure Number City, State, Zip Code contribution to a candidate) Type ~mendmen Amount 01/20/2017 Big Idea Strategies, LLC Website/Digital Ads MON $ Florida Avenue 17 This form is based on DS-DE 14 (Rev. 11/13) Adjutant Workshop, Inc. - Campaign ToolBox